MELINDA K PEMBERTON (FNP-BC) – Family Nurse Practitioner, NPI 1598080160
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MELINDA K PEMBERTON (FNP-BC)
208 Haley Rd
Johnson City, TX 786364617
Phone: (830) 868-4033
Type: Location
5301 FARAON ST STE 120
SAINT JOSEPH, MO 645063512
Phone: (816) 671-4800
Fax: (816) 233-4021
Type: Mailing
901 HEARTLAND RD STE 3800
SAINT JOSEPH, MO 645066201
Phone: (816) 671-4800
Fax: (816) 233-4021
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752844658
Phone: (254) 724-8800
Type: Mailing
208, Haley Road, Johnson City, Blanco County, Texas, 78636, United States
JOHNSON CITY, TX 786364617
Phone: (830) 868-4033
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Amgen Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100506000824 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 385 | 207 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 101 | 89 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 93 | 93 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 73 | 63 | $0 |
Insurance plans in this area (ZIP 78636)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Cardiovascular Disease (Cardiology) | MO | |
| Family Practice | MO | |
| Certified Clinical Nurse Specialist (Cns) | MO | |
| Internal Medicine | MO | |
| A N E S T H E S I O L O G Y | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO |
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